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Bionomy Health vs Somira Health

Bionomy Health and Somira Health both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.

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By Ruth Calder · Enforcement Editor
Editorially reviewed (not clinically reviewed). Not medical advice · How we verify contentLast reviewed

Bionomy Health

8.1
★★★★☆4.1/5

Best for: knowing which pharmacy fills the vial: it names Strive Pharmacy

Visit Bionomy Health →
VS
Somira Health logo

Somira Health

7.1
★★★★☆3.6/5

Best for: compounded semaglutide at $189.99/month

Visit Somira Health →

If you are choosing between Bionomy Health and Somira Health, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Bionomy Health leads our six-part score, 8.1 to 7.1.

Bionomy Health vs Somira Health price

Bionomy Health and Somira Health start at within a dollar of each other ($189 and $189.99 a month), so the entry price does not separate them. Look at what each price covers and at the per-drug prices below.

Drug by drug: Semaglutide costs the same at both, $189 a month; tirzepatide is cheaper at Bionomy Health ($249 a month vs $284.99 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format they match: each offers compounded injections.

Where each one treats patients

Bionomy Health lists 48 states, and Somira Health does not publish where it ships.

Pricing

Bionomy Health

All doses (flat)Compounded
$189/mo
semaglutide

Pay per prescription, no subscription; billed monthly

All doses (flat)Compounded
$249/mo
tirzepatide

Pay per prescription, no subscription; billed monthly

Somira Health

MonthlyCompounded
$189.99/mo
semaglutide

$189.99/mo month-to-month; $136.66/mo ($409.99 total) billed quarterly; price locked as you titrate

MonthlyCompounded
$284.99/mo
tirzepatide

$284.99/mo month-to-month; $221.66/mo ($664.99 total) billed quarterly; price locked as you titrate

What each price covers

Both prices cover the clinician visit, the medication itself and shipping.

Bionomy Health is silent on lab work and coaching.

Somira Health is silent on lab work and coaching.

Bionomy Health

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

In the price

Lab work

Not stated

Coaching

Not stated

Somira Health

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

In the price

Lab work

Not stated

Coaching

Not stated

Where each one scores higher

Overall, Bionomy Health scores 8.1 and Somira Health 7.1 out of 10.

Bionomy Health is stronger on trust & safety (10.0 vs 6.5) and accessibility (9.7 vs 5.0).

Value, effectiveness, user experience and support are within half a point.

How we score

Bionomy Health

8.1/10

Overall

Somira Health

7.1/10

Value25%

5.0A
vs
B
4.8

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

10.0A
vs
B
6.5

Accessibility10%

9.7A
vs
B
5.0

Support10%

7.0A
vs
B
7.0

FDA warning letters

Neither Bionomy Health nor Somira Health has an FDA warning letter on record with us.

Features & Coverage

FeatureBionomy HealthSomira Health
Starting Price✓$189/mo$189.99/mo
Features7 features✓8 features
States Available48Not disclosed
Compounded✓ Yes✓ Yes
Brand Name——
FSA/HSA Accepted——
FDA Warning LettersNoneNone

About Bionomy Health

Compounded semaglutide runs 189 dollars a month, compounded tirzepatide 249 dollars a month, charged per prescription rather than by subscription. Before any payment is taken the intake is free and reviewed by a physician. Bionomy Health is a physician-led men's telehealth brand pairing GLP-1s with longevity protocols, peptides and testosterone, and it reaches 48 states, all but Alaska and Hawaii. Strive and Absolute, both LegitScript-certified pharmacies, do the fulfillment. Compounded drugs are not FDA-approved.

Read our full Bionomy Health review →

About Somira Health

Titrating up does not raise the bill. Compounded semaglutide costs $189.99/month, dropping to $136.66/month bought quarterly; compounded tirzepatide costs $284.99/month, dropping to $221.66/month. Overnight delivery, syringes and alcohol wipes come at no charge and insurance stays out of it. Somira is self-pay and acts as a connector, linking patients to independent licensed providers and to compounding pharmacies for GLP-1 weight loss. FDA approval does not cover compounded drugs. Neither the pharmacy partner nor the list of states served is published, and no LegitScript appears.

Read our full Somira Health review →

Pros & Cons

Bionomy Health

What we like

  • Semaglutide costs $189 a month, close to the $185 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $249 a month, close to the $250 median for compounded tirzepatide across the sellers we compare
  • Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • The monthly price stays the same as your dose goes up
  • The monthly price includes the medication, clinician visits and shipping
  • Serves 48 states
  • Names 2 pharmacies that fill its prescriptions, which most sellers do not
  • We found no FDA warning letters issued to Bionomy Health

Watch-outs

  • Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality

Somira Health

What we like

  • Semaglutide costs $189.99 a month, close to the $185 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $284.99 a month, close to the $250 median for compounded tirzepatide across the sellers we compare
  • Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • The monthly price includes the medication, clinician visits and shipping
  • We found no FDA warning letters issued to Somira Health

Watch-outs

  • Confirm it serves your state before you start the intake
  • Ask which pharmacy fills the prescription before you pay, so you can check its license
  • Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality

Our Verdict

Winner: Bionomy Health

Bionomy Health wins this one, 8.1 to 7.1, above all for knowing which pharmacy fills the vial: it names Strive Pharmacy. Somira Health fits better if compounded semaglutide at $189.99/month is your priority.

Choose Bionomy Health if…

You want knowing which pharmacy fills the vial: it names Strive Pharmacy and an opening price near $189 a month.

Choose Somira Health if…

You want compounded semaglutide at $189.99/month and an opening price near $189.99 a month.

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6.4

ShedRx

Oral orforglipron alongside the injectables

9.0

bmiMD

Starting below a standard dose, with microdose tiers

6.7

RxSpan MD

Knowing which pharmacy fills the vial: it names Belmar Pharmacy

Bionomy Health vs Somira Health: FAQ

Neither on the entry price: Bionomy Health and Somira Health both start at about $189 a month. The difference is in what the price includes.
Yes, both sell semaglutide and tirzepatide.
Bionomy Health lists 48 states; Somira Health does not publish where it ships. Confirm your state before paying.
Both include the clinician visit, the medication itself and shipping.
Bionomy Health has none. Somira Health has none.
No. Neither Bionomy Health nor Somira Health pays us anything.

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